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Laser Printer Claim Forms, CMS-1500, 1-Part, 9-1/2"x11", 500/PK 500PK

  • Mfr # TOP50126RV

  • Zoro # G801847429


product price: $43.35
/pk 500, $0.09/ea

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Specifications

Product Information

MFR #
TOP50126RV
Zoro #
G801847429
UPC #
25932512605
Country of Origin
United States

Description

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

Restrictions

WARNING: Cancer and Reproductive Harm For more information go to www.P65Warnings.ca.gov

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